Imars Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103186 Issued in CA

Legal business name

IMARS MEDICAL SUPPLY

Practice address

8225 S Normandie Ave
Suite C
Los Angeles, CA 90044-2335

Phone

(323) 750-8815

Fax

(323) 750-8818

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Austin B. Ezenwa

Title

Ceo

Phone

(323) 750-8815

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568504165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 S NORMANDIE AVE",
            "address_2": "SUITE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442335",
            "telephone_number": "323-750-8815",
            "fax_number": "323-750-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 S NORMANDIE AVE",
            "address_2": "SUITE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900442335",
            "telephone_number": "323-750-8815",
            "fax_number": "323-750-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMARS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EZENWA",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-750-8815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.